Results of Transforming Care at Bedside (TCAB) Nursing Program on the Occurrence of Unplanned Extubation
Results of TCAB Nursing Program on Unplanned Extubation
Keywords:
TCAB, nursing care, unplanned extubationAbstract
Transforming Care at Bedside (TCAB) has goal to improve quality of patient care for patient safety. The purpose of this quasi-experimental research was to compare occurrence rate of unplanned extubation pre and post implementation of TCAB nursing program in Medical Intensive Care Unit 1, Buddhachinaraj Phitsanulok Hospital during January-December 2016. Intubated patients were divided in 2 groups of 150 patients each and designated as the control group and the experimental group. The control group received standard nursingcare, whereas, the experimental group would receive additional TCAB nursing program. The research instruments were TCAB nursing program which had four parts: TCAB nursing care, endotracheal tube care, pain management & sedative and restrained. Data collection form which had three parts: personal data records, CAB evaluation form and unplanned extubation incident report. Data were presented as frequency, percentage and mean values. Data was compared between experimental and control groups with chi-square test with statistically significant level at 0.05. The study showed that TCAB nursing program decrease unplanned extubation occurrence with statistically significant. In conclusion, TCAB nursing program should be used to improve another nursing process for patient safety
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